BackgroundDiabetes mellitus (DM) is a common systemic disease amongst Black South Africans. It may lead to diabetic retinopathy (DR), a common cause of visual impairment (VI) and blindness. DR may significantly increase the prevalence of VI and blindness.AimTo assess risk factors for VI and blindness amongst a black diabetic South African population aged ≥ 40 years.SettingThe study was conducted in seven Government healthcare facilities (two hospitals, four clinics and one health centre) in Mopani District, Limpopo province, South Africa.MethodsThis was a cross-sectional health facility-based quantitative study. Structured interviews were used to obtain information, which included sociodemographic profile, knowledge about DM and its ocular complications, presence of hypertension and accessibility to health facilities. Subsequently participants were examined for VI and blindness using an autorefractor, pinhole disc, ophthalmoscope and logMAR visual acuity chart. Anthropometric measurements (height, weight and waist) were also taken. Associations between 31 risk factors and VI as well as blindness were statistically examined.ResultsParticipants (N = 225) included 161 women and 64 men aged 40–90 years (mean 61.5 ± 10.49 years); 41.3% of them had VI and 3.6% were blind. Cataracts (76.8%) and DR (7.1%) were the common causes of compensated VI and blindness. Risk factors that were associated with VI and blindness were age, monthly income, compliance with losing weight and physical activity.ConclusionFindings suggest that lifestyle intervention and appropriate eyecare programmes may reduce VI and blindness in this population.

Background: Diabetes mellitus (DM) among black South Africans is on the increase because of population ageing, unhealthy lifestyles, and obesity. Knowledge about DM and appropriate practices related to DM are keys to its proper management.Aim: To assess the knowledge and practices related to DM among black South Africans aged 40 years and older with DM.Setting: The study was conducted in seven government health care facilities in the Mopani District.Method: This was a health facility-based cross-sectional quantitative study. Structured interviews were used to obtain information which included socio-demographic profiles as well as knowledge about DM and its ocular complications.Results: Participants (N = 225) included 161 (71.6%) women and 64 (28.4%) men aged 40–90 years (mean and standard deviation of 61.5 ± 10.49 years). Many (68.3%) did not know the types of DM and only 32.4% knew the type of DM they had. Many knew about the importance of special diet (84.5%) and physical activity (64.4%) in DM management; however, only 52% knew about the importance of losing weight. Many (71.5%) followed a special diet as advised, only 29.1% always tried to lose weight, and 48.3% engaged in physical activity. Many (82.6%) knew that DM could cause vision problems, but only 49.3% have had their eyes examined. Most (99.5%) of those on oral medication and those on insulin (93.1%) reported using their treatment as prescribed.Conclusion: The knowledge and practices related to DM among the participants were good in certain aspects but poor in others, suggesting the need for programmes on DM awareness in this population.Keywords: Knowledge; practices; diabetes mellitus; Mopani District; South Africa

This article reports part of the findings of a study carried out to determine the causes, prevalence, and distribution of ocular dis-orders among rural primary school children in Mopani district of Limpopo Province, South Africa. Three hundred and eighty eight children aged 8 to 15 years were randomly selected from five randomly selected schools. Non-cycloplegic retinoscopy and auto-refrac-tion were performed on each child. The preva-lence of hyperopia, myopia, and astigmatism was 73.1%, 2.5% and 31.3% respectively. Hyperopia (Nearest spherical equivalent power (FNSE) ranged from +0.75 to +3.50 D for the right and left eyes with means of +1.05 ± 0.35 D and +1.08 ± 0.34 D respectively.Myopia (FNSE) ranged from –0.50 to –1.75 D for the right eye and –0.50 to –2.25 D for the left eye with means of –0.75 ± 0.55 D and –0.93 ± 0.55 D respectively. Regression model for myopia, shows that age had an odds ratio  of 1.94 (1.15 to 3.26), indicating a significant increased risk of myopia with increasing age. Correcting cylinders for the right eyes ranged from –0.25 to –4.50 D (mean = −0.67 ± 0.47 D) and for the left eyes from –0.25 to –2.50 D (mean = −0.60 ± 0.30 D). With-the-rule (WTR) astigmatism (66.5%) was more common, followed by against-the-rule (ATR)astigmatism (28.1%) and oblique (OBL) astigmatism (5.4%). With-the-rule astigmatism was more common in females than males; ATR astigmatism and OBL astigmatism werecommon in males. Regular vision screening programmes, appropriate referral and vision correction in primary schools in Mopani district are recommended in order to eliminate refractive errors among the children.

This article presents part of the findings of a study conducted to assess the prevalence and causes of visual impairment (VI) and blindness among adults with diabetes mellitus (DM) receiving treatment at the government health facilities in the Mopani District, South Africa.  This health facility-based cross-sectional study was conducted among 225 Black South African diabetics (161 females and 64 males) aged 40-90 years (mean= 61.50 ± 10.49) years at seven different health care facilities. All the participants were examined for VI using an auto-refractor, pinhole disc, an ophthalmoscope, and a logMAR chart. Visual impairment was defined as visual acuity (VA) of worse than 6/9.5 but better and equal to 3/60, and blindness as VA of worse than 3/60 to no light perception. The prevalence of uncompensated VI and blindness in the right eyes was 70.6 and 3.6%, respectively. In the left eyes, the prevalence was 72 and 3.1% for VI and blindness respectively. The prevalence of blindness remained the same after optical compensation. The leading causes of uncompensated VI and blindness in both eyes were uncorrected refractive error (RE) (49.5%), cataract (24.7%), diabetic retinopathy (3.8%) and glaucoma (2.2%). Following optical compensation, the prevalence of compensated VI and blindness in the right eyes was 41.3 and 3.6%, respectively and in the left eyes, the prevalence was 42.2 and 3.1%, respectively. Uncompensated RE and cataract were the common causes of VI and blindness in this sample. The socio-economic status of this population might have contributed to these findings. These results indicate the need for affordable vision examination and spectacles provision as well as cataract surgery services in this population.

This article reports part of the findings of a study carried out to determine the causes, prevalence,  and  distribution  of  ocular  dis-orders  among  rural  primary  school  children in  Mopani  district  of  Limpopo  Province, South Africa. Three hundred and eighty eight children  aged  8  to  15  years  were  randomly selected from five randomly selected schools. Non-cycloplegic retinoscopy and auto-refrac-tion were performed on each child. The preva-lence of hyperopia, myopia, and astigmatism was  73.1%,  2.5%  and  31.3%  respective-ly.  Hyperopia  (Nearest  spherical  equivalent power (FNSE) ranged from +0.75 to +3.50 D for the right and left eyes with means of +1.05 ±  0.35  D  and  +1.08  ±  0.34  D  respectively. Myopia (FNSE) ranged from –0.50 to –1.75 D for the right eye and –0.50 to –2.25 D for the left eye with means of –0.75 ± 0.55 D and –0.93 ± 0.55 D respectively. Regression model for myopia, shows that age had an odds ratio of  1.94  (1.15  to  3.26),  indicating  a  signifi-cant increased risk of myopia with increasing age.  Correcting  cylinders  for  the  right  eyes ranged from –0.25 to –4.50 D (mean = −0.67 ± 0.47 D) and for the left eyes from –0.25 to –2.50 D (mean = −0.60 ± 0.30 D). With-the-rule  (WTR)  astigmatism  (66.5%)  was  more common, followed by against-the-rule (ATR) astigmatism (28.1%) and oblique (OBL) astig-matism  (5.4%).  With-the-rule  astigmatism was  more  common  in  females  than  males; ATR astigmatism and OBL astigmatism were common in males. Regular vision screening programmes,  appropriate  referral  and  vision correction  in  primary  schools  in  Mopani district  are  recommended  in  order  to  elimi-nate  refractive  errors  among  the  children.